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General NPI Number Information
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NPI Number | 1720181381
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Entity Type | Organization
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Legal Business Name | FLARE MEDICAL SERVICES CORP
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 8370 W FLAGLER ST SUITE 120
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City | MIAMI
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State | FL
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Zip | 33144-2094
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Country | US
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Telephone | 305-263-1373
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Fax | 305-222-8366
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Provider Business Mailing Address
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Address Line | 2311 SW 5TH AVE
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City | MIAMI
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State | FL
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Zip | 33129-1939
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Country | US
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Telephone | 305-263-1373
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Fax | 305-222-8366
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARMEN MUNOZ
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Credential |
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Telephone | 305-263-1373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | FL
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